Lezayre Nursing Home

Updated 22 March 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was undertaken by an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Lezayre Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Lezayre is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service.

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

We used all this information to plan our inspection.

During the inspection

We spoke with the registered manager, area manager and three other members of the staff team. We also spoke with six people who lived in the home and eight relatives, about their experience of the care provided.

We reviewed a range of records. This included four people's care records and multiple medication records. We looked at four staff files in relation to safe recruitment. A variety of records relating to the management of the service, including audits were also reviewed.

Updated 22 March 2023

About the service

Lezayre Nursing Home is a care home providing residential and nursing care to 35 people at the time of the inspection. The service can support up to 36 people.

People’s experience of using this service and what we found

Risks to people had been assessed and measures put in place to minimise risks and maximise people’s safety. Staff knew people’s needs and how to meet them and this information was reflected within detailed plans of care. Regular internal and external checks were also made of the building and equipment to ensure they remained safe.

Procedures were in place to prevent the spread of infections and the home appeared to be clean. Staff had access to personal protective equipment and families were supported to visit the home in line with guidance. Accidents were reviewed and opportunities taken to learn lessons to help prevent further incidents.

We found that there were enough staff available, to support people in a timely way, although feedback received was mixed. Staff had been recruited safely, were aware of people’s needs and knew how to report any safeguarding concerns they had. People and their relatives told us they were safe living at Lezayre. Medicines were managed safely by staff who had undertaken training and had their competency assessed. However, some records required further clarity and the registered manager actioned this.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The provider had systems in place to monitor the quality and safety of the service and the registered manager was committed to ensuring their regulatory responsibilities were met. Systems were in place to gather feedback from people and their relatives, to help shape the service and people told us the home was well managed and staff provided good care.

Staff worked closely with the local GP and made referrals to other health and social care professionals when required, for specialist advice and support, to ensure people’s needs were met effectively.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.

Rating at last inspection and update

The last rating for this service was requires improvement (published 6 July 2022). At the last inspection the provider was in breach of regulations in relation to medicines and risk management. We also recommended that the provider reviewed its systems to ensure effective procedures were in place to monitor the quality and safety of the service.

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations and the recommendation had been met.

Why we inspected

We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Lezayre Nursing Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.